How much rates vary
Facilitymedian $19 · 10th to 90th $9 to $52Professionalmedian $19 · 10th to 90th $9 to $26
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $22.39 | Facility | None | $18.62 | $18.62 | $22.39 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $19.05 Typical High $22.39 | Professional | None (both parts) | $18.62 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $9.77 | Professional | 26 · Professional part | $8.13 | $8.51 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | TC · Technical part | $10.47 | $10.47 | $12.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $16.98 Typical High $23.44 | Professional | None (both parts) | $9.33 | $16.98 | $23.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $10.72 | Professional | 26 · Professional part | $7.41 | $8.91 | $10.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $11.48 Typical High $18.20 | Professional | TC · Technical part | $9.12 | $11.48 | $18.20 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $28.84 | Professional | None (both parts) | $22.39 | $24.55 | $28.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $9.55 | Professional | 26 · Professional part | $7.94 | $8.91 | $9.55 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $14.13 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $33.88 | Professional | None | $18.62 | $21.88 | $33.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $8.71 | $13.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $12.88 Typical High $19.05 | Professional | TC · Technical part | $10.72 | $12.88 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $33.88 | Professional | None | $15.85 | $19.95 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Facility | None | $26.92 | $26.92 | $36.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | None (both parts) | $14.13 | $14.13 | $15.14 |
Sentara Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $47.86 | Facility | None | $8.71 | $15.85 | $47.86 |
Sentara Setting Professional Modifier None (both parts) Typical Low $6.03 Median $13.49 Typical High $27.54 | Professional | None (both parts) | $6.03 | $13.49 | $27.54 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $5.62 | $8.71 | $12.59 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $10.00 Typical High $18.20 | Professional | TC · Technical part | $7.24 | $10.00 | $18.20 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $173.78 | Facility | None | $70.79 | $77.62 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $20.89 Typical High $36.31 | Professional | None (both parts) | $15.14 | $20.89 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $6.61 | $8.91 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $12.02 Typical High $21.38 | Professional | TC · Technical part | $8.32 | $12.02 | $21.38 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.55 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.80 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $3.80 | $4.47 |
Where Virginia sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 43rd of 51
$18.62
WI $39.81NC $17.38
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.